The list is growing about the groups that are coming out against the Republican alternative to the ACA or Obamacare. When Toby Cosgrove speaks, people in health care listen. The American Hospital Association, American Medical Association and AARP have all previously come out in opposition to this hare brained alternative to the ACA.

IMHO, there is a law of unintended consequences and should this very bad bill become law, it will carry serious political consequences. Especially when people lose their health insurance or have to pay a larger share of the premiums for their insurance. Without the individual mandate and penalty for someone who refuses to get insured; very few health insurance companies would want to sell policies on the exchanges. Premiums would go into outer space.

IN addition the economic consequences of this very bad bill would be severe. With many more people going without insurance coverage, hospitals will face a real financial crisis. It could also lead to massive lay offs in the health care sector that could devastate the economy. Health care is now the largest employer in the economy. More people work in health care than work in manufacturing.

If there is any silver lining to this, it is that the voters will rebel against the Republican party and vote out anyone who voted for this bill. A Democrat will be elected President in 2020 and may very well have a Deomcratic congress as well. Then in 2021, the United States will get Medicare for Everyone.

One of the most influential hospital executives in the nation and Trump advisor, Toby Cosgrove CEO of the Cleveland Clinic, has come out against the Republican alternative to the ACA or Obamacare. Toby Cosgrove was even considered for a cabinet position as Secretary of Veterans Affairs by Donald Trump, but Dr. Cosgrove declined the appointment. Toby Cosgrove is also a well known cardiac surgeon who has served in the military as a physician. Here is what CNBC had to say about this development:

Cleveland Clinic CEO and Trump advisor Dr. Toby Cosgrove told CNBC on Thursday the new GOP health proposal as written would increase the cost to patients.

Recognizing the complexity of changing health care, Cosgrove argued on "Squawk Box" there's no way to just get rid of former President Barack Obama's Affordable Care Act and go back to the way it was before the 2010 law. There's also no political viability for "single payer" universal health care controlled by the government, he added.

But he said the goal should still be having "good care" and "people covered."

"The [Republican] bill that it is right now, I'm concerned that it's going to wind up costing the actual patients; they're not going to get the kind of coverage they need," Cosgrove added.

Backed by Trump, the Republican plan to repeal and replace Obamacare moved forward in two House committees in a marathon session that stretched into the early morning hours of Thursday. House Speaker Paul Ryan wants a vote this month so the bill can move to the Senate.

As health care solutions are debated, Cosgrove said it's important to know how treatment is paid for in the United States. There won't be much change in employer plans and Medicare, he argued.

"The things that are changing is the individual payment and also

Medicaid," he added. "Probably the most important one is Medicaid. That is what has expanded the coverage across the United States with

about 15 million people being covered."

The Medicaid expansion under Obamacare has provided hospitals payment for low-income patients who were not covered before, Cosgrove said, and hospitals need the money.

"Hospitals are running at very thin margins. ... Fifty-two percent lost money on operations," he said. "We all have skin in the game. If hospitals start to fail across the country, we got a problem."

The GOP plan "clearly puts hospitals in a much worse position" if it were implemented as written now, said Cosgrove, who is among the 16 CEOs on President Donald Trump's Strategic & Policy Forum. The group is chaired by Blackstone co-founder and chief Stephen Schwarzman.